Organization
JUDITH TIMCHULA DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH A TIMCHULA DDS (OWNER)
(303) 530-1212
Entity
Organization
Contact information
Practice address
7490 CLUBHOUSE RD, SUITE 101, BOULDER, CO 80301-3720
(303) 530-1212
(303) 530-1702
Mailing address
7490 CLUBHOUSE RD, SUITE 101, BOULDER, CO 80301-3720
(303) 530-1212
(303) 530-1702
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5160
CO
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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